Diabetes, a chronic metabolic disorder, manifests through various subtle yet significant symptoms that warrant attention. Excessive thirst, a hallmark sign, results from the body's attempt to flush out excess sugar through increased urine production. Frequent urination, often accompanied by an unquenchable thirst, signifies that the kidneys are working overtime to eliminate surplus glucose. Persistent fatigue, even when there is adequate rest, can be attributed to the body's struggle to utilize glucose efficiently for energy. Unexplained weight loss may occur as the cells starve due to insufficient glucose absorption. Elevated hunger levels, paradoxically, can coexist with weight loss, as the body craves more energy in the absence of efficient glucose utilization. The skin on the feet may become dry as a result of having diabetes, and foot wounds that heal slowly may be indicative of compromised immune function, also associated with diabetes. If you have diabetes, it is strongly suggested that you visit a podiatrist who can perform routine foot exams and offer effective treatment options.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact Theresa Brown, DPM from Essie M.B. Smith Foot Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

• Routinely inspect your feet for bruises or sores.
• Wear socks that fit your feet comfortably.
• Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

If you have any questions, please feel free to contact our office located in Montgomery, AL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Sever’s disease, also known as calcaneal apophysitis, is a common cause of heel pain in growing children and adolescents, especially those who are active in sports. It occurs when the growth plate in the heel becomes irritated due to repetitive stress or excessive impact. Symptoms often include heel pain during or after activity, tenderness when the heel is squeezed, limping, or difficulty walking barefoot. The affected area may appear slightly swollen or red, and the pain often worsens with running or jumping. Causes include rapid growth spurts, tight calf muscles, improper footwear, or overtraining. A podiatrist can diagnose Sever’s disease through a physical exam, gait analysis, and discussion of activity levels. Treatment focuses on reducing inflammation and relieving pressure through rest, supportive shoes, heel cups, or orthotics. Early management helps prevent recurring pain and allows children to stay active safely. It is suggested that you make an appointment with a podiatrist if your child experiences heel pain.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Theresa Brown, DPM from Essie M.B. Smith Foot Clinic. Our doctor can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

If you have any questions, please feel free to contact our office located in Montgomery, AL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Diabetes can lead to various foot and toenail issues due to poor circulation, nerve damage, and compromised immune function. Common toenail problems in diabetics include onycholysis, which is a separation of the nail from the nail bed, ingrown toenails, fungal infections, and periungual erythema, which is redness around the nail. These conditions often arise because diabetes weakens the body’s ability to fight infections and heal wounds. Symptoms include pain, swelling, discoloration, or a thickened nail, which may become brittle or discolored. Fungal infections may cause the nail to crumble or thicken, while ingrown toenails can cause tenderness and redness. Treatment may involve antifungal medications, proper nail trimming techniques, or the use of custom orthotics to alleviate pressure. In more severe cases, a podiatrist may recommend medical intervention or even nail removal. Proper foot care, including regular check-ups with a podiatrist, is essential for preventing complications. If you are dealing with these types of issues, it is suggested that you make an appointment with a podiatrist.

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, contact Theresa Brown, DPM of Essie M.B. Smith Foot Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet.

Symptoms

• Warped or oddly shaped nails
• Yellowish nails
• Loose/separated nail
• Buildup of bits and pieces of nail fragments under the nail
• Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

If you have any questions please contact our office located in Montgomery, AL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Hammertoes occur when one or more toes bend abnormally at the middle joint, often due to muscle imbalance, wearing tight shoes, or underlying structural problems. When conservative treatments such as padding, footwear changes, or splints no longer relieve discomfort, surgery may be considered. Hammertoe surgery aims to straighten the affected toe, relieve pressure, and restore normal alignment. A podiatrist may remove a small piece of bone, release a tightened tendon, or realign the joint, depending on the severity of the deformity. Recovery typically involves rest, wearing protective footwear, and a gradual return to activity with guidance from your podiatrist. If you are experiencing pain, irritation, or difficulty wearing shoes due to a hammertoe, it is suggested that you consult a podiatrist to discuss whether surgical correction may be the best option for long-term comfort and function.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Theresa Brown, DPM of Essie M.B. Smith Foot Clinic. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

If you have any questions, please feel free to contact our office located in Montgomery, AL . We offer the newest diagnostic and treatment technologies for all your foot care needs.